NOAA Direct Readout Survey

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OMB # 0648-0227 EXPIRES 01/31/2028

EMAIL

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FIRST

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LAST

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PHONE

*

FAX

ADDRESS

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CITY

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COUNTRY

STATE

POST CODE

*

SELECT CATEGORY THAT BEST DESCRIBES YOUR ACTIVITY? *

SELECT ALL MANUFACTUER SERVICES THAT APPLY: *

SELECT ALL RECEIVED DATA TYPES THAT APPLY: *

WHICH NOAA SATELLITE(S) DO YOU USE? *

WHAT IS THE LOCATION OF YOUR ANTENNA? N/A OR UNKNOWN

* PLEASE USE GOOGLE MAPS TO GET THE LAT/LNG FOR YOUR STATION

LATITUDE (INFO)	LONGITUDE (INFO)	ELEVATION

HOW MANY SUB-USERS DO YOU HAVE? *

DESCRIBE YOUR DATA APPLICATION? *

SUGGESTIONS?

* INIDICATES A REQUIRED FIELD

NOTICE:

Registration is voluntary. Information will only be disclosed for FOIA requests, as required by law.

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